Citation

Balázs J, Bitter I. Psychiatr. Hung. 2000; 15(2): 134-144.

Copyright

(Copyright © 2000, Magyar Pszichiatriai Tarsasag)

DOI

unavailable

PMID

unavailable

Abstract

OBJECTIVE: The authors report on the second part of the validation study of the Hungarian version of the Mini International Neuropsychiatric Interview Plus (M.I.N.I. Plus). The authors try to find the possible reasons of the low kappa of the criterion validity found in the first part of the study in 1996 made in the Department of Psychiatry and Psychotherapy of the Semmelweis University of Medicine in Budapest.

METHOD: The authors examined the documentation of 80 patients enrolled into the study in 1996. An independent psychiatrist diagnosed the patients according to ICD-10 based on their documentation. These diagnoses were compered with the diagnoses arrived from the M.I.N.I. Plus. The suicide behaviour measured by M.I.N.I. Plus was also compared with the suicide behaviour documented in the patient's files. Sensitivity and specificity were calculated.

RESULTS: In 71 out of 80 cases the M.I.N.I. Plus assigned the same main diagnoses as the independent psychiatrist. In 78 out of the 93 psychiatrist's diagnoses the M.I.N.I. Plus gave the same diagnoses. The sensitivity and the specificity results were good and very good. The independent psychiatrist assigned altogether 93 diagnoses, the M.I.N.I. Plus including suicide behaviour 200, excluding it 149.57% of the M.I.N.I. Plus suicide behaviour cases had no documentation in the patients' files.

DISCUSSION: The M.I.N.I. Plus missed very few real-positive cases as compared to the independent psychiatrist. The M.I.N.I. Plus assigned more fals-positive diagnoses compared to the independent psychiatrist. The authors suggest, that this is the reason for the low kappa in the first part of the study. But these cases call the attention of the clinicians to the possibility of missed comorbid or subthreshold diagnoses or to the suicide behaviour, which as a category doesn't exists in the ICD-10.

Language: en

Keywords

article; calculation; comorbidity; Comorbidity; Criterion validity; diagnostic accuracy; neuropsychiatry; psychotherapy; Sensitivity; Specificity; Structured diagnostic interview; suicidal behavior; Suicide behaviour; validation process